Lisa O Bartley

Family Southern Maine Health Care NPI1922043991

Performance

Public Reporting for Performance Scores

More Details

Final MIPS Score

100 out of 100

Score Breakdown

Quality Category Score 100
PI Category Score 100

 

IA Category Score 40
Cost Category Score 0
Total Patients: 36
Source of Scores: group

Performance Details

Measure Code Measure Title Performance Rate Patient Count Star Value Five Star Benchmark Collection Type
IA_EC_BE_4 Engagement of patients through implementation of improvements in patient portal
IA_EC_BMH_4 Depression screening
IA_EC_BMH_2 Tobacco use
IA_EC_PM_16 Implementation of medication management practice improvements
IA_EC_PSPA_16 Use of decision support and standardized treatment protocols
MIPS_EC_001_overall Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 13 98 EHR
IA_EC_PSPA_6 Consultation of the Prescription Drug Monitoring Program
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 50 700 3 85 EHR
MIPS_EC_112_overall Breast Cancer Screening 77 190 4 93 EHR
MIPS_EC_119_overall Diabetes: Medical Attention for Nephropathy 85 98 4 100 EHR
MIPS_EC_113_overall Colorectal Cancer Screening 76 322 4 92 EHR
MIPS_EC_117_overall Diabetes: Eye Exam 59 98 3 100 EHR
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 97 1120 4 100 EHR
MIPS_EC_134_overall Preventive Care and Screening: Screening for Depression and Follow-Up Plan 61 474 3 96 EHR
MIPS_EC_236_overall Controlling High Blood Pressure 81 281 EHR
MIPS_EC_317_overall Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 26 656 2 64 EHR
PI_EC_EP_1 e-Prescribing 100 2518 5 100 EHR
MIPS_EC_374_overall Closing the Referral Loop: Receipt of Specialist Report 40 304 2 88 EHR
PI_EC_EP_2 Query of the Prescription Drug Monitoring Program (PDMP)
PI_EC_HIE_5 Health Information Exchange(HIE) Bi-Directional Exchange
PI_EC_ONCACB_1 ONC-ACB Surveillance Attestation
PI_EC_PEA_1 Provide Patients Electronic Access to Their Health Information 81 1004 4 99 EHR
PI_EC_ONCDIR_1 ONC Direct Review Attestation
PI_EC_PHCDRR_4 Public Health Registry Reporting
PI_EC_PHCDRR_5 Clinical Data Registry Reporting
PI_EC_PPHI_1 Security Risk Analysis